ERIK KEITH BOMMERSBACH

MILWAUKEE, WI
NPI1417380452
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WI  17193-40)
Enumeration Date2013-08-13
Last Update Date2013-08-13
Business Address
-- ERIK KEITH BOMMERSBACH PharmD
620 W OKLAHOMA AVE
MILWAUKEE, WI 53215-4718
Phone number: 414-744-1135
Mailing Address
-- ERIK KEITH BOMMERSBACH PharmD
1626 N PROSPECT AVE APARTMENT #1008
MILWAUKEE, WI 53202-2493
Phone number: 507-990-2131